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1 To perform construction in the City s right of way, Contractors must be licensed and bonded. The following documents and fee are required by the City of Fort Worth for licensing and bonding: Original $10,000 Parkway Contractors Bond with Power of Attorney. Application for License (for new contractors only) License fee of $500, payable to the City of Fort Worth (For Commercial Work only) Certificate of Liability Insurance in the amount of $1 million general commercial liability coverage. The certificate must name the City of Fort Worth as certificate holder and additional insured. It must also include a 30 day cancellation notice. ** Please read attached instructions for detailed information** For more information, please contact the City of Fort Worth Transportation and Public Works Department, Street Permit Center at , or visit us at 311 W. 10 th St. Fort Worth, TX We are located on the southwest corner of 10 th and Taylor.

2 $10,000 BOND Instructions for completing the Parkway Contractor s Bond The bond forms provided must be completed by the bonding company s insurance agency and signed by the bonding company s principal and Attorney-in-Fact. The Power-of-Attorney for the Attorney-in-Fact must be the same name and have the same date on the bond. Submit the original bond with seal and Power-of-Attorney with original signatures to the Street Permit Center. If you are a new contractor, the license application must be completed in full, signed and dated by the applicant (principal). s must be written and printed in the space provided. (Please attach a sheet with insurance and bonding company s name, full address, and phone and fax numbers). New contractors are required to meet with a parkway construction inspector before the release of a parkway permit. New contractor meetings with inspectors are held Monday through Friday from 8 a.m. to 9 a.m. Annual license fee for all contractors A check/credit card/cash/money order/cashier s check in the amount of $500 (annual license fee), payable to the City of Fort Worth, must accompany the application when it is returned to the Street Permit Center office. This fee is for one year from the date of the bond and is renewed annually. Existing Contractors: If you are continuing your bond from one year to the next, with no lapse in coverage, a continuation certificate and the license fee of $500 is all that is required. The continuation certificate must have a coverage term of 12 months. The license renewal with the Street Permit Center is valid one year from the bond s effective date.

3 CITY OF FORT WORTH, TEXAS PARKWAY CONTRACTOR S BOND THE STATE OF TEXAS ) COUNTY OF TARRANT ) KNOW BY ALL MEN THESE PRESENTS: That we,, as Principal, and, as Surety, are held and firmly bound unto the City of Fort Worth, Texas, or to any of its Officers, for the use of any persons, firms, or corporations with whom such Principal shall hereafter contract, in the penal sum of Ten Thousand ($10,000), good and lawful money of the United States of America, well and truly to be paid, and for payment of which we and each of us hereby bind ourselves, our heirs, executors, administrators, and successors, jointly and severally, firmly by these presents. THE CONDITIONS OF THIS OBLIGATION ARE SUCH THAT WHEREAS, the above-named Principal desires to engage in the business of pouring, constructing, building, repairing and rebuilding curbs, gutters, sidewalks and driveways in the City of Fort Worth, and has complied with all of the terms and conditions of Section of the Code of the City of Fort Worth (1986), as amended, and as same may be amended from time to time, and has applied to the City Engineer of said City for a license to do such work, which license expires if its own force and effect one (1) year from the date thereof, but may be revoked by the City of Fort Worth at any rate. NOW THEREFORE, if said Principal shall, during its continuance of said license, indemnify and save harmless the City of Fort Worth and any person, firm or corporation with whom the Principal has contracted, from any and all damages of every character arising from, or caused directly or indirectly, from imperfect or inadequate work done by said Principal and maintain said work in good and workmanlike state of repair for and during a period of two (2) years from and after its completion and acceptance by the City of Fort Worth, then this obligation shall be null and void, otherwise to remain in full force and effect; provided, however, this bond is executed by the Surety on the condition that its liability shall be limited by and subject to the conditions and provisions herein contained. Successive actions may be brought on this bond for successive breaches of its conditions or any of them; provided, however, that the sum total of all liability of the Surety on any one or all of such actions shall not exceed the sum of Ten Thousand Dollars ($10,000). The liability of the Surety under this bond, if not canceled as hereinafter provided, shall cease and terminate of its own force and effect only year from the date hereon, saving and except for the maintenance of the work performed previous to the date of termination, for which work the liability of the Surety from maintenance shall continue for two years from and after the date of the completion and acceptance of said work by the City, but no longer.

4 The Surety may terminate its liability under this bond at any time by giving the City Council of the City of Fort Worth, Texas, five (5) days written notice of the Surety s intention to do so, and from and after said date the Surety will no longer be liable for any subsequent act, save and except as to maintenance as hereinabove provided. IN WITNESS WHEREOF, the said Principal; of the said Surety have set their hand and seal this day of, 20. _ PRINCIPAL _ SURETY _ ATTORNEY-IN-FACT

5 Parkway Contractor s Bond Application for License Type or print the company name of the applicant in the blank below: Hereby makes application for license as provided for by Section of the Code of the City of Fort Worth (1986), as amended, and as same may be amended from time to time, stating that applicant is fully qualified to properly complete any work undertaken and will make available the necessary labor, materials, and equipment; and furnishes the following in support of this application: 1. The applicant or owner has been in business years as a parkway contractor under the present business name. 2. Has the applicant or owner engaged in business under any other name(s) in the past ten years? If yes, what name? 3. Other cities where applicant is licensed: _. 4. Has the applicant or owner ever been licensed as a parkway contractor by the City of Fort Worth? If yes, when? 5. Has the applicant or owner had concrete work he/she started, completed or reconstructed by a bonding company? If yes, summarize on an attached sheet. 6. Has the applicant or owner failed to complete any contract he entered? If yes, summarize on an attached sheet. 7. Types of construction company usually performs: 8. Type of organization: Individual, Partnership, Corporation, etc.: 9. Applicant/owner full home address: Address City State Zip 10. Applicant/owner full business address: Address City State Zip

6 Owner, partners, or officers and construction experience: NAME TITLE YEARS Applicant is familiar with Section of the Code of the City of Fort Worth (1986), as amended; will furnish the required bond satisfactory to the City of Fort Worth, Texas; and agrees to complete all work in compliance with the requirements established by the City of Fort Worth through its City Engineer. City Engineer Approval: AUTHORIZATION TO SIGN FOR PERMITS: of authorized individuals to receive permits: Phone number for Emergencies: Licensee/Applicant Signature: Date:

7 TPW/Traffic Engineering Street Permit Center BASIC INSURANCE REQUIREMENTS PARKWAY CONTRACTORS The following items represent basic insurance requirements. Exceptions to the insurance requirements may be permitted, depending on the risk exposure in regards to respective services, products procured, or contractual terms, to name a few. The only non-negotiable item is number 3, Statutory Limits of Workers Compensation, which is required for all public projects. 1. Commercial General Liability (CGL) Insurance Policy $1,000,000 Each occurrence $2,000,000 Aggregate limit 2. Automobile Liability Insurance Policy $1,000,000 Each accident on a combined single limit basis A commercial business policy shall provide coverage on Any Auto 3. Worker s Compensation Insurance Policy Statutory Limits Employer s liability $100,000 Each accident/occurrence $100,000 Disease-per each employee $500,000 Disease-policy limit 4. Policy Endorsements as follows: The City of Fort Worth, its Officers and Employees named as an Additional Insured Thirty (30) days notice of cancellation or non-renewal. It would be advantageous to the City to require the following clause: This insurance shall not be cancelled, limited in scope or coverage, cancelled or non-renewed, until after thirty (30) days prior written notice has been given to the City of Fort Worth. Waiver of rights of recovery (subrogation) in favor of the City of Fort Worth. 5. The insurers for all policies must be licensed/approved to do business in the State of Texas and have minimum rating of A: VII in the current A. M. Best Key Rating Guide or have reasonably equivalent financial strength and solvency to the satisfaction of the Risk Manager. 6. The deductible or self-insured retention (SIR) affecting required insurance coverage shall be acceptable to the Risk Manager of the City of Fort Worth in regards to asset value and stockholders equity. In lieu of traditional insurance, alternative coverage maintained through insurance pools or risk retention groups must also be approved.

To perform construction in the City s right of way, contractors must be licensed and bonded. The following documents and fee are required by the City of Fort Worth for licensing and bonding: Original $25,000

To perform construction in the City s right-of-way, Contractors must be licensed and bonded. The following documents and fee are required by the City of Fort Worth for licensing and bonding: Original $10,000

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